ONLINE COUPLES THERAPY AND MARRIAGE COUNSELING

Online Couples Therapy For The Fight Underneath The Fights

Most couples have one real argument that wears a hundred costumes. Octave offers online couples therapy and marriage counseling with licensed therapists trained in couples care, matched to you in 1 to 3 days, joining together from wherever you each are.

1,200+

Therapists

In-network

with major carriers

3,400+

Licensed Therapists

$28

Typical Out-Of-Pocket Per Session, In Network

1 to 8

Days To A First Appointment

Insurance

We Work With Major Carriers

Clients only pay $28 per session, on average. How is this possible? Octave works with you and your insurance provider to secure the best coverage for therapy and make high-quality care accessible.
Did you know?
Got an HSA or FSA? You can also use your pre-tax funds to pay for therapy.

Insurance Coverage

Save time and money

Know the cost of therapy before you start. Discover how much your insurance will cover for therapy with Octave. Simply select your state and insurance provider to see any out-of-pocket costs.

Cost calculator illustration

Affordable therapy that fits your life

Find a therapist who gets you

How it works

4 steps to start therapy

Answer a few questions

Answer a few questions

Find the right therapist

Find the right therapist

Start therapy

Start therapy

See results

See results
Get seen by an Octave therapist within 1-8 days.

Specializations

Care for the things that bring people to therapy.

Our experts can treat a wide variety of issues:

All Specializations

Provider credentialing section

Less than 4% of therapists who apply join the Octave network.

Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.

Find your best therapist

3,400+

Therapists in network

Independently licensed across all 50 states

100%

License verified

Active state licensure confirmed quarterly with the issuing board

3.8%

Acceptance rate

Clinicians pass a multi-stage interview, case review, and reference check

10 yrs

Average experience

Median post-licensure clinical practice in the network

Comparison table

Therapy that fits into your life

It shouldn’t be the other way around, and that’s why we do what others don’t.

Octave
Traditional in-person

First session wait

Within 1-8 days

3-6 weeks

Insurance verified upfront

Yes- before first session

Often after-the-fact

Average out-of-pocket

$25-$60

$120-$250

Evening & weekend availability

Standard

Limited

Re-matching if it’s not a fit

Free, anytime

Start the search over

Care coordination

Dedicated coordinator

Self-managed

Outcomes and clinical evidence

A clearer alternative to the typical referral grind.

94%

report meaningful improvement within 12 sessions

Octave outcomes report, 2024 (n=18,400)

71%

show clinical reduction in PHQ-9 depression scores

Octave outcomes report, 2024 (n=18,400)

82%

remain in care at 6 months — well above industry average

Octave outcomes report, 2024 (n=18,400)

Published research

Meta-analysis

Andersson, G., et al. (2019).

RCT

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012).

Outcomes

Lambert, M. J. (2017).

Comprehensive Review

Smith, J., et al. (2021).

In our clients’ own words
Our success is measured by the satisfaction of the clients we serve. See what some of them have to say about their experience.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient

Frequently Asked Questions

Online Couples Therapy, Answered
Most couples wait years longer than they should. Here's what couples therapy involves, what it costs, and what to do if your partner isn't sold yet.

Yes. Marriage counseling, couples therapy, couples counseling, and relationship counseling are different names for the same work: a licensed therapist helping two partners understand and change the patterns between them. You do not need to be married, engaged, or in crisis to come; you need a relationship you want to work on.


Coverage for couples therapy varies by plan, and you can check your cost before booking with the cost estimator, so there is no surprise after your first session.


Mostly yes; couples therapy is primarily joint sessions, and online you can join from the same couch or different locations entirely. Many therapists also hold an individual check-in with each partner early on, which is standard practice, not a warning sign.

Common, and workable. Reluctance usually means fear of being ganged up on or blamed, and a good couples therapist structures sessions so neither partner is the defendant: the pattern between you is the client, not either person. Some couples start with one willing partner in individual therapy, and the door stays open.

Earlier than most do. The average couple waits years past the first signs, and the pattern calcifies while they wait. Recurring fights that never resolve, distance that keeps growing, trust that took a hit, a big decision you cannot make together, or a good relationship you want to keep good: all of these are the right time. Premarital counseling counts too.

Yes. Studies of video-delivered couples therapy show outcomes comparable to in-person care, and the format solves couples therapy’s oldest logistical problem: getting two busy people into one room at one time. Evening and weekend slots, no commute, and travel or distance no longer cancel the session.

More On Couples Therapy

What Online Couples Therapy At Octave Looks Like

Couples therapy is structured work on the relationship itself, guided by a licensed therapist trained specifically in couples care. At Octave it happens over secure video, with both partners joining from wherever they are, matched to your therapist in 1 to 3 days. Married, unmarried, engaged, long-distance, considering separation, or simply stuck: the format is the same, and the work meets the relationship where it is.



The cycle is the client

Most couples arrive believing the problem is the topic: money, sex, in-laws, chores, phones. Underneath, there is usually one repeating cycle: one partner pushes to be heard, the other pulls away to keep the peace, and each response confirms the other’s fear. Evidence-based couples work, including emotion-focused therapy, targets that cycle directly: seeing it, naming it, and interrupting it until the conversation underneath the fights can finally happen.

What sessions look like

Sessions are mostly joint, with early individual check-ins as standard practice. The therapist’s job is structure: keeping the conversation out of the well-worn ruts, making sure both partners leave having been heard, and sending you home with something to practice, because the relationship changes between sessions, not just during them.

Coming early, coming late, coming anyway

Couples tend to arrive years after the first signs, and therapy still works then; it simply has more rubble to move. Coming early is easier, and coming for maintenance (premarital work, a strong relationship under new strain from a move, a baby, an illness) is not overreacting; it is what the sturdiest couples do. If you are asking whether it is time, it is time.

Starting this week, together

Answer a few questions (together or separately), weigh in on your matches, and hold your first session within about a week, from the same couch or two different cities. One hour a week for the relationship costs less than the fights do.


Search For a Couples Therapist in Your State


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If you need help right now

Crisis resources.

Octave is not an emergency service. If you or someone you love is in immediate danger, call 911 or go to your nearest emergency room.

988 Suicide & Crisis Lifeline

24/7, free, confidential — call or text

Crisis Text Line

Text HOME — 24/7 trained counselors

National DV Hotline

24/7 confidential support

Veterans Crisis Line

Press 1 after dialing 988

SAMHSA National Helpline

Treatment referral & info, 24/7

Trevor Project

LGBTQ+ youth crisis support

Have the real conversation, with a referee.

Online couples therapy with a matched, couples-trained therapist. Same couch optional.

Find Your Best Therapist